Individual
DR. JANELLE P. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5709 MARKET ST STE I, OAKLAND, CA 94608-2811
(415) 902-2134
(909) 706-3942
Mailing address
134 HARKNESS AVE, SAN FRANCISCO, CA 94134-2122
(415) 902-2134
(510) 444-1966
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
213E00000X
Podiatrist
Primary
E5039
CA
213EP1101X
Primary Podiatric Medicine Podiatrist
E5039
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E5039
CA
213ES0131X
Foot Surgery Podiatrist
E5039
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1581343
—
CA
01
—
CA144219
MEDICARE PTAN NO CAL
CA
01
—
CB229206
MEDICARE PTAN SO CAL
CA
01
—
E5039
CA DPM LICENSE
CA
Enumeration date
06/26/2009
Last updated
05/31/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us